Atrial Fibrillation Patient’s Treatment Experience: A Qualitative Analysis of Rivaroxaban and Warfarin

Objectives: In the treatment of atrial fibrillation (AF), anticoagulant medications such as warfarin and rivaroxaban are commonly prescribed to help reduce the risk of ischaemic strokes, and other thromboembolic events. Previous research has highlighted various advantages and disadvantages of each of these medications, but there remains an absence of qualitative evidence regarding the lived experiences of AF patients. The present study aims to address this gap and obtain a greater understanding of the patient experience and beliefs surrounding their selected anticoagulant medication. Design: Semi-structured qualitative interviews with a purposive sample of 20 participants (10 warfarin, 10 rivaroxaban). Interviews were transcribed verbatim and thematically analyzed. Results: Data analysis led to the generation of three key themes: positive perceptions of medication, distrust of alternatives, and inconsistencies in support experiences. Conclusions: Positive perceptions of one anticoagulant medication (ACM) and distrust of alternatives may influence patients’ confidence in switching medications. This is potentially problematic where there is a lack of patient engagement in medication changes. Gaps in patient understanding of anticoagulation, including lack of clarity around medications selection, and misconceptions about treatment, were evident. By addressing these misconceptions, clinicians may be better positioned to support people with AF in self-management of their ACM.